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1366101313
JACOB NATHAN CAMPBELL
FEDERAL WAY, WA
NPI
1366101313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: WA 7881-8076-2277)
Enumeration Date
2021-12-16
Last Update Date
2021-12-16
Business Address
Mr. JACOB NATHAN CAMPBELL EMT
34515 9TH AVE S
FEDERAL WAY, WA 98003-6799
Phone number: 253-944-4137
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Mailing Address
Mr. JACOB NATHAN CAMPBELL EMT
19509 9TH AVE E
SPANAWAY, WA 98387-8010
Phone number: 480-848-7236
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